Provider Demographics
NPI:1982395562
Name:NURTURE & NOURISH, LLC
Entity Type:Organization
Organization Name:NURTURE & NOURISH, LLC
Other - Org Name:NURTURE & NOURISH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:CLC
Authorized Official - Phone:303-263-1618
Mailing Address - Street 1:7433 RIVER BEND RD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80911-9654
Mailing Address - Country:US
Mailing Address - Phone:303-263-1618
Mailing Address - Fax:
Practice Address - Street 1:7433 RIVER BEND RD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80911-9654
Practice Address - Country:US
Practice Address - Phone:719-413-8456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-16
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty